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North Carolina rates for HCPCS 63055

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.44 / $2,459.09 / $12,615.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.48 / $6,813.48 / $6,912.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $6,025.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.05 / $1,967.88 / $3,475.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$361.80 / $393.58 / $744.84
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$253.26 / $275.50 / $499.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $20,179.93 / $20,179.93
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$350.08 / $1,134.79 / $1,887.52